摘要
目的探讨目标导向性镇痛及早期呼吸功能锻炼对肺癌术后患者康复的影响。方法选取肺癌术后转入ICU的患者56例,分为对照组和试验组两组,分别给予常规护理及目标导向性镇痛联合早期呼吸功能锻炼,观察两组患者疼痛评分、血气分析结果、重返ICU例数、再次气管插管例数。结果与对照组相比,试验组术后疼痛评分和ICU滞留时间优于对照组,差异具有统计学意义(P<0.05),且患者耐受良好,未出现严重不良反应。结论对于肺癌术后的患者,实施目标导向性镇痛联合早期呼吸功能锻炼可以减轻局部刺激症状,减轻疼痛,提高患者术后呼吸道分泌物的清理能力,改善呼吸肌的耐力,促进早期肺功能的恢复。
Objective To explore the effect of goal-directed analgesia and early respiratory exercise on the rehabilitation of patients with lung cancer after operation.Methods 56 patients who were transferred to ICU after lung cancer operation were divided into two groups,control group and test group.They were given routine nursing and goal-directed analgesia combined with early respiratory function exercise.The pain score,blood gas analysis results,the number of patients who returned to ICU and the number of patients who were intubated again were observed.Results Compared with the control group,pain score and ICU stay time of the experimental group were better than that of the control group,The difference was statistically significant(P<0.05),and the patients were well tolerated without serious adverse reactions.Conclusion For patients with lung cancer after surgery,the implementation of goal-directed analgesia combined with early respiratory exercise can reduce local irritation symptoms,reduce pain,improve the ability of cleaning respiratory secretion,improve the endurance of respiratory muscles,and promote the recovery of early lung function.
作者
汪学芹
WANG Xueqin(Department of Critical Medicine,PKU Care Zibo Hospital,Zibo Shandong 255051,China)
出处
《中国继续医学教育》
2020年第19期111-113,共3页
China Continuing Medical Education
关键词
目标导向性
镇痛
呼吸功能锻炼
肺癌
康复
影响
goal oriented
analgesia
respiratory exercise
lung cancer
rehabilitation
impact
